Inflammatory Serum Protein Profiling of Patients with Lumbar Radicular Pain One Year after Disc Herniation

Earlier studies suggest that lumbar radicular pain following disc herniation may be associated with a local or systemic inflammatory process. In the present study, we investigated the serum inflammatory protein profile of such patients. All 45 patients were recruited from Oslo University Hospital, U...

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Main Authors: Aurora Moen, Anne-Li Lind, Måns Thulin, Masood Kamali-Moghaddam, Cecilie Røe, Johannes Gjerstad, Torsten Gordh
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:International Journal of Inflammation
Online Access:http://dx.doi.org/10.1155/2016/3874964
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author Aurora Moen
Anne-Li Lind
Måns Thulin
Masood Kamali-Moghaddam
Cecilie Røe
Johannes Gjerstad
Torsten Gordh
author_facet Aurora Moen
Anne-Li Lind
Måns Thulin
Masood Kamali-Moghaddam
Cecilie Røe
Johannes Gjerstad
Torsten Gordh
author_sort Aurora Moen
collection DOAJ
description Earlier studies suggest that lumbar radicular pain following disc herniation may be associated with a local or systemic inflammatory process. In the present study, we investigated the serum inflammatory protein profile of such patients. All 45 patients were recruited from Oslo University Hospital, Ullevål, Norway, during the period 2007–2009. The new multiplex proximity extension assay (PEA) technology was used to analyze the levels of 92 proteins. Interestingly, the present data showed that patients with radicular pain 12 months after disc herniation may be different from other patients with regard to many measurable serum cytokines. Given a false discovery rate (FDR) of 0.10 and 0.05, we identified 41 and 13 proteins, respectively, which were significantly upregulated in the patients with severe pain one year after disc herniation. On the top of the list ranked by estimated increase we found C-X-C motif chemokine 5 (CXCM5; 217% increase), epidermal growth factor (EGF; 142% increase), and monocyte chemotactic protein 4 (MCP-4; 70% increase). Moreover, a clear overall difference in the serum cytokine profile between the chronic and the recovered patients was demonstrated. Thus, the present results may be important for future protein serum profiling of lumbar radicular pain patients with regard to prognosis and choice of treatment. We conclude that serum proteins may be measurable molecular markers of persistent pain after disc herniation.
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spelling doaj-art-86b0531f5c31444783348d440892952d2025-02-03T01:25:23ZengWileyInternational Journal of Inflammation2090-80402042-00992016-01-01201610.1155/2016/38749643874964Inflammatory Serum Protein Profiling of Patients with Lumbar Radicular Pain One Year after Disc HerniationAurora Moen0Anne-Li Lind1Måns Thulin2Masood Kamali-Moghaddam3Cecilie Røe4Johannes Gjerstad5Torsten Gordh6National Institute of Occupational Health, 0033 Oslo, NorwayDepartment of Surgical Sciences, Uppsala University, 751 85 Uppsala, SwedenDepartment of Statistics, Uppsala University, 751 20 Uppsala, SwedenDepartment of Immunology, Genetics and Pathology, Science for Life Laboratory, Uppsala University, 751 85 Uppsala, SwedenDepartment of Physical Medicine and Rehabilitation, Oslo University Hospital, 0424 Oslo, NorwayNational Institute of Occupational Health, 0033 Oslo, NorwayDepartment of Surgical Sciences, Uppsala University, 751 85 Uppsala, SwedenEarlier studies suggest that lumbar radicular pain following disc herniation may be associated with a local or systemic inflammatory process. In the present study, we investigated the serum inflammatory protein profile of such patients. All 45 patients were recruited from Oslo University Hospital, Ullevål, Norway, during the period 2007–2009. The new multiplex proximity extension assay (PEA) technology was used to analyze the levels of 92 proteins. Interestingly, the present data showed that patients with radicular pain 12 months after disc herniation may be different from other patients with regard to many measurable serum cytokines. Given a false discovery rate (FDR) of 0.10 and 0.05, we identified 41 and 13 proteins, respectively, which were significantly upregulated in the patients with severe pain one year after disc herniation. On the top of the list ranked by estimated increase we found C-X-C motif chemokine 5 (CXCM5; 217% increase), epidermal growth factor (EGF; 142% increase), and monocyte chemotactic protein 4 (MCP-4; 70% increase). Moreover, a clear overall difference in the serum cytokine profile between the chronic and the recovered patients was demonstrated. Thus, the present results may be important for future protein serum profiling of lumbar radicular pain patients with regard to prognosis and choice of treatment. We conclude that serum proteins may be measurable molecular markers of persistent pain after disc herniation.http://dx.doi.org/10.1155/2016/3874964
spellingShingle Aurora Moen
Anne-Li Lind
Måns Thulin
Masood Kamali-Moghaddam
Cecilie Røe
Johannes Gjerstad
Torsten Gordh
Inflammatory Serum Protein Profiling of Patients with Lumbar Radicular Pain One Year after Disc Herniation
International Journal of Inflammation
title Inflammatory Serum Protein Profiling of Patients with Lumbar Radicular Pain One Year after Disc Herniation
title_full Inflammatory Serum Protein Profiling of Patients with Lumbar Radicular Pain One Year after Disc Herniation
title_fullStr Inflammatory Serum Protein Profiling of Patients with Lumbar Radicular Pain One Year after Disc Herniation
title_full_unstemmed Inflammatory Serum Protein Profiling of Patients with Lumbar Radicular Pain One Year after Disc Herniation
title_short Inflammatory Serum Protein Profiling of Patients with Lumbar Radicular Pain One Year after Disc Herniation
title_sort inflammatory serum protein profiling of patients with lumbar radicular pain one year after disc herniation
url http://dx.doi.org/10.1155/2016/3874964
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AT masoodkamalimoghaddam inflammatoryserumproteinprofilingofpatientswithlumbarradicularpainoneyearafterdischerniation
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